Individual
MRS. MARTHA LEWIS ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3310 EAGLEBROOK DR, CHRISTIANSBURG, VA 24073-8106
(540) 449-2593
(540) 382-9010
Mailing address
3310 EAGLEBROOK DR, CHRISTIANSBURG, VA 24073-8106
(540) 449-2593
(540) 382-9010
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701001698
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005400805
—
VA
01
—
208449
ANTHEME LPC
VA
01
—
84523
SENTARA
VA
Enumeration date
09/28/2006
Last updated
03/25/2009
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